Organization
CHILDREN'S HOME SOCIETY OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH TUTTEROW (PRESIDENT)
(336) 274-1538
Entity
Organization
Contact information
Practice address
286 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 676-4954
(919) 676-4953
Mailing address
PO BOX 14608, GREENSBORO, NC 27415-4608
(336) 274-1538
(336) 379-5835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003425
NC
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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